Kimberly M Disalle, RN is a
Registered Nurse - Medical-surgical based in Phillipston, Massachusetts. Kimberly M Disalle is licensed to practice in Massachusetts (license number RN2296847) and her current practice location is
195 Blake Corner Rd # A, Phillipston, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(978) 895-0967.
NPI number for Kimberly M Disalle is 1174388607 and her current mailing address is 195 Blake Corner Rd # A, Phillipston, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174388607.
Provider's Profile
Full Name | Kimberly M Disalle |
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Gender | Female |
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Speciality | Registered Nurse - Medical-surgical |
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Location | 195 Blake Corner Rd # A, Phillipston, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174388607
- Provider Enumeration Date: 02/14/2024
- Last Update Date: 02/14/2024
Medical Identifiers
Medical identifiers for Kimberly M Disalle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174388607 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WM0705X | Registered Nurse - Medical-surgical | RN2296847 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly M Disalle is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kimberly M Disalle, RN 195 Blake Corner Rd # A, Phillipston, MA 01331-9793 Ph: (978) 895-0967 | Kimberly M Disalle, RN 195 Blake Corner Rd # A, Phillipston, MA 01331-9793 Ph: (978) 895-0967 |
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